HomeMy WebLinkAbout1998-035 Agrmt - US Long DistanceAccount Name:
Address:
Contact:
Bill To Name:
Address:
Tax Exempt: [] Yes
Business Long Distance
Service Agreement
Customer Billing Information
~ No
Zip:
Estimated Monthly Usage: $
Phone Number: 5'?/
City: State: Zip:
[ A'd'vantag~ DirecttStatus.: A B
Type of Business:
Trade Ref.:
Trade Ref.:
Bank Name:
Bank Address:
Credit Information
Tax ID / SSN:
Previous Carrier:.
Contact:
Contact:
Bank Officer:
Account #:
Service Request
Ph. #:
Ph. #:
Ph. #:
~ Advantage Select
~ Advantage Select U.S.
- Advantage Select U.S./800
[] Advantage Select/National [] Custom 800 Features
[] National 800 [] Advantage Texas
[] Security 800 [] Dialers
Special Instructions
[] Promotion .
Terms
It i~ undemtood by Cust~r that USLD is a telecommunications servi~:~ company of&ring long distance telephor~ ~. USLD intends to provide Customer un~n'~t~.~:.~ t,~"vice. USLD assum~ no liability
for ca/is not completed due l'~kdrcum~tenc~s beyond USLD's control. It Ir,,~het tmderstcxxt th~t · on~ime r,~wice ~tabl~ent fe~ ott $ , ~ a mon~l~&ccess be~ of $ o
will be billed to Customers acc~t accordingly by USLD. A fee not to exce~$100 will be ch~ged for restoration of a~y a.,x~vt~t,~ord~ not available ~'t line. Furthermore, l.~I~ the right to interrupt
or discormect service for nonpayn~nt of charges. Customer bes~by ag~e~ an~ obligated to promptly pay for USLD ~rvices ~ within I~t (10) days of receipt of the USLD~m0~ce. Payment is payable
~n Sam Antoruo, Bexar County, Texanand it m fxu'ther agreed that venue for any ~il~gafion matter or dispute will be in Sazt Antonlo, B~ County, Tex~s. A% per month l~e~ee will be unpose~
upon all past-due amounts. An accotl~t is considered past due if payment for chics is not re~mived withLn thirty (30)
tot each returned ~ in tbe event customer dbputes payment as t~,xcerm~ amounts appea~mg on a USLD invoice, the ct~sto~ ag~ to pay all amounts not in dispute u~ler the invoice,
and no~fy USLD in writing of such c[isput~,~amourtt($} within 30 days of customer's mceifit~voic~.
USLD Sales ~;y'~:tive'Signa.~_~e~. / ' Customer Signature/Authorized Agent
Printed Name ' Printed Name/Title
FOR INTERNAL USE ONLY
Total # Attachments:
USLD Representative: Sales Code: Plan Code:
Customer Service Code: Plan Code:
Class Code: Mgmt. Reports: 1 2 3 4 5 6 7 8 Agent Code: Plan Code:
Site: Cycle: Sales Code: Approved: Pending:
Date Entered: Account #: 800 Resp/Org: FMS:
UPc
QA:
Date Gathering: Fixed Charges:
Comments/Special Instructions:
800 Add On
Advantage Direct First Name:
Distribution: White Copy ~ Order ~:ntry
New Contract
Last Name:.
¥ell~' Copy -- NIlS
CSR
Pink Copy ~ Sales
Password: .~
Goldenrod Copy -- Customer
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